Jeff Jordan Cunningham, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

20122 Issued in MS

Practice address

7165 Getwell Rd
BLDG H, Suite 1
Southaven, MS 38672-9618

Phone

(662) 349-7676

Fax

(662) 349-7679

NPI assigned

Jan 2, 2008

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Otolaryngology

Education

University of Mississippi School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Mississippi Otolaryngology Head and Neck Surgery, LLCGroup PAC ID 3678606860, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

Merit-based Incentive Payment System (MIPS)

Final score

98.2 of 100Reported as individual

Quality

100

Promoting interoperability

94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBDIBD/Endpoint/JBDIBD
• FHIR API: https://fhir4.healow.com/fhir/r4/JFDIBD
• Direct secure messaging: jcunningham26972@mlh.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC

  • Otolaryngology Physician
  • Southaven, MS
  • NPI 1790006674

  TN

  Medicare reassignment Care Compare group NPD
• Desoto Thyroid and Endocrinology

  • Specialist
  • Southaven, MS
  • NPI 1710134945
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Methodist Healthcare - Olive Branch Hospital

  • General Acute Care Hospital
  • Olive Branch, MS
  • NPI 1912341439
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1073798781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 GETWELL RD",
            "address_2": "BLDG H, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729618",
            "telephone_number": "662-349-7676",
            "fax_number": "662-349-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 GETWELL RD",
            "address_2": "BLDG H, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729618",
            "telephone_number": "662-349-7676",
            "fax_number": "662-349-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JEFF",
        "middle_name": "JORDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "20122",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "43312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09123759",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Kristen Creel, RN
• Jennifer Leigh Crider, AU.D.
• Carley Crosby, PA-C
• Adam Carson Cummins, MD
• Cunningham Physical Medicine
• Mark L Cunningham, MD
• Kristina S. Curtiss, LMSW
• Gregory D Dabov, M.D.
• Wendy A Dagley, PLPC
• Haleigh Dale, MOTR/L

• Otolaryngology Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.